Fraud & Abuse

If you suspect a client (a person who receives benefits) or a provider (e.g., doctor, dentist, counselor, etc.) has committed waste, abuse or fraud, you have a responsibility and a right to report it.

Fill out our online form or paper fraud, waste or abuse form, and submit it to us directly by:

  • Mail: Parkland Community Health Plan
    Attn: Special Investigations Unit
    PO Box 560307
    Dallas, TX 75356
  • Phone: 800-351-0093
    Available 24 hours a day, 7 days a week.
  • Email: PCHPSIU@phhs.org


You can contact the Office of Inspector General (OIG) directly. Submit an online report to HHSC OIG by selecting ‘Reporting Waste, Abuse and Fraud,’ call their Fraud Hotline at 1-800-436-6184, or you may send a written statement to:

To report providers, use this address:

Office of Inspector General
Medicaid Provider Integrity/Mail Code 1361
P.O. Box 85200
Austin, TX 78708-5200

When reporting a provider (e.g., doctor, dentist, counselor, etc.) provide the following:

  • Name, address, and phone number of provider or facility (hospital, nursing home, home health agency, etc.);
  • Medicaid number of the provider and facility is helpful;
  • Type of provider (physician, physical therapist, pharmacist, etc.);
  • Names and the number of other witnesses who can aide in the investigation;
  • Dates of events; and
  • Summary of what happened.

To report clients, use this address:

Office of Inspector General
General Investigations/Mail Code 1362
P.O. Box 85200
Austin, TX 78708-5200